Predicting Delirium Duration in Elderly Hip-Surgery Patients : Does Early Symptom Profile Matter?

Joint Authors

Adamis, Dimitrios
Eikelenboom, Piet
Meagher, David J.
de Jonghe, Jos F. M.
Witlox, Joost
van Gool, Willem A.
Ploeg, Tjeerd van der
Slor, Chantal J.
Jansen, Rene W. M. M.
Houdijk, Alexander P. J.
van Stijn, Mireille F. M.

Source

Current Gerontology and Geriatrics Research

Issue

Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-9, 9 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2013-02-27

Country of Publication

Egypt

No. of Pages

9

Main Subjects

Diseases

Abstract EN

Background.

Features that may allow early identification of patients at risk of prolonged delirium, and therefore of poorer outcomes, are not well understood.

The aim of this study was to determine if preoperative delirium risk factors and delirium symptoms (at onset and clinical symptomatology during the course of delirium) are associated with delirium duration.

Methods.

This study was conducted in prospectively identified cases of incident delirium.

We compared patients experiencing delirium of short duration (1 or 2 days) with patients who had more prolonged delirium (≥3 days) with regard to DRS-R-98 (Delirium Rating Scale Revised-98) symptoms on the first delirious day.

Delirium symptom profile was evaluated daily during the delirium course.

Results.

In a homogenous population of 51 elderly hip-surgery patients, we found that the severity of individual delirium symptoms on the first day of delirium was not associated with duration of delirium.

Preexisting cognitive decline was associated with prolonged delirium.

Longitudinal analysis using the generalised estimating equations method (GEE) identified that more severe impairment of long-term memory across the whole delirium episode was associated with longer duration of delirium.

Conclusion.

Preexisting cognitive decline rather than severity of individual delirium symptoms at onset is strongly associated with delirium duration.

American Psychological Association (APA)

Slor, Chantal J.& Witlox, Joost& Adamis, Dimitrios& Meagher, David J.& Ploeg, Tjeerd van der& Jansen, Rene W. M. M.…[et al.]. 2013. Predicting Delirium Duration in Elderly Hip-Surgery Patients : Does Early Symptom Profile Matter?. Current Gerontology and Geriatrics Research،Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-511762

Modern Language Association (MLA)

Slor, Chantal J.…[et al.]. Predicting Delirium Duration in Elderly Hip-Surgery Patients : Does Early Symptom Profile Matter?. Current Gerontology and Geriatrics Research No. 2013 (2013), pp.1-9.
https://search.emarefa.net/detail/BIM-511762

American Medical Association (AMA)

Slor, Chantal J.& Witlox, Joost& Adamis, Dimitrios& Meagher, David J.& Ploeg, Tjeerd van der& Jansen, Rene W. M. M.…[et al.]. Predicting Delirium Duration in Elderly Hip-Surgery Patients : Does Early Symptom Profile Matter?. Current Gerontology and Geriatrics Research. 2013. Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-511762

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-511762